- St. Luke's Health System (Boise, ID)
- …truly a great place to work. **What You Can Expect:** Under limited supervision, the Coding Quality Specialist is responsible for ensuring coding ... Health Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist ), CCS-P (Certified Coding Specialist… more
- Highmark Health (Boise, ID)
- …Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) ... at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports...deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) risk adjustment… more
- Datavant (Boise, ID)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... workspace! **Preferred: In need for a FT IP auditing specialist . Auditing specialist will be responsible for...specific to Medicare and Medicare Managed Care. Interest in coding IP charts in the event the contract ends.… more
- MTC (Nampa, ID)
- …operate the **Centennial Job Corps Center in Nampa, ID** where our staff provide quality services to our local youth. We value our professional and caring employees ... with graduate placement in conjunction with the career transition readiness specialist . **Education and Experience Requirements:** + Bachelor's degree and teaching… more
- Datavant (Boise, ID)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... healthcare from your own workspace! **Preferred: Seeking Inpatient Audit Specialist . Would like a candidate that is strong in...must have a CCS and 5 years of experience coding and/or auditing and strong spinal fusion experience as… more
- Datavant (Boise, ID)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... software experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate … more
- Datavant (Boise, ID)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... IR, Spinal and Orthopedics. **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and… more
- Datavant (Boise, ID)
- …our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a pivotal role in ... to enhance documentation clarity, completeness, and overall medical record quality . By ensuring accurate and comprehensive physician documentation, you will… more
- Trinity Health (Boise, ID)
- …time of hire. + Registered Health Information Technician (RHIT) or related quality / Coding Certification by the American Health Information Management Association ... we pride ourselves on exceptional service and the highest quality of care. The Cancer Institute is now hiring...Institute is now hiring for a Certified Oncology Data Specialist . If you already have your ODS certification and… more
- Sedgwick (Boise, ID)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance PL CLAIM SPECIALIST **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical ... client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management.… more
- Trinity Health (Boise, ID)
- …Full time **Shift:** Day Shift **Description:** The Payer Authorization Specialist performs insurance verification and pre-authorization on all clinical procedures, ... relevant clinical background required. 3. Working knowledge of CPT and ICD coding gained through experience. **HIGHLIGHTS AND BENEFITS:** When Saint Alphonsus takes… more
- ASM Research, An Accenture Federal Services Company (Boise, ID)
- …discipline, such as application support, database administration, software quality assurance/ quality control, software engineering, network telecommunications, ... Skills** + _Technical problem solving and implementer skills in application coding , infrastructure, or automation_ . + _Effective communications (written and… more
- Oracle (Boise, ID)
- …strong and productive; someone who knows how to balance speed and quality with iterative and incremental improvements. You understand operational excellence and ... + BS or MS degree in Computer Science or relevant technical field involving coding or equivalent practical experience. + 10+ years of total experience in software… more
- St. Luke's Health System (Boise, ID)
- …of the following credentials: AAPC-CIC (Certified Inpatient Coder), CCS (Certified Coding Specialist ), CCS-P, COC (Certified Outpatient Coder), CPC (Certified ... and appropriateness of codes. + Applies basic knowledge of coding to solve unique or new cases resulting in...quality and quantity standards along with demonstrated competency coding all types of records as outlined in … more
- Molina Healthcare (Boise, ID)
- …appropriate clinical guidelines. Contributes to overarching strategy to provide quality and cost-effective member care. **ESSENTIAL JOB DUTIES:** + Facilitates ... readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate reimbursement to providers. + Resolves escalated… more
- Molina Healthcare (Boise, ID)
- …lines of business. * Certified Business Analysis Professional (CBAP) or Certified Coding Specialist (CCS) certification. * Project management experience. * ... monitors health plan scoreable action items (SAIs) to ensure performance and quality levels exist in PI Business products and processes. Establishes procedures and… more
- Cardinal Health (Boise, ID)
- …drive business value. Application Development & Maintenance performs configuration or coding to develop, enhance and sustain the organization's software systems in ... connectors and upgrade plug ins in a timely manner. + **Data Integrity and Quality :** Implement and enforce strict data governance and quality standards within… more
- Oracle (Boise, ID)
- …clinical oversight across Oracle Health, partnering with product development, engineering, quality , and regulatory functions to align clinical best practices with ... Surveillance Safety. Collaborate with, and support, Post-Market Surveillance Director and Quality and Patient Safety team to:** . Ensure appropriate assessment of… more
- Parexel (Boise, ID)
- …matters with particular attention to those relating to patient safety + Review coding of adverse events, medical history and concomitant medications for accuracy and ... assessments, SERs, as necessary, for potential signals or issues (product quality ) + Perform review and summarization of literature citations including epidemiology… more
- Oracle (Boise, ID)
- …of new AI agent outputs, using statistical methods to drive quality enhancements in automated documentation across diverse healthcare settings. + Collaborate ... + Design and implement assessment frameworks to validate AI output quality , driving continuous improvement in healthcare solutions. + Analyze mappings between… more